Asociación entre autorregulación alimentaria, dieta, estado nutricional y bienestar subjetivo en adultos en Chile
PDF

Palabras clave

obesity
self-regulation eating
diet
well-being obesidad
dieta
bienestar
autorregulación alimentaria

Cómo citar

Cabezas-Henríquez, M. F., & Nazar-Carter, G. . (2022). Asociación entre autorregulación alimentaria, dieta, estado nutricional y bienestar subjetivo en adultos en Chile. Terapia Psicológica, 40(1), 1-21. Recuperado a partir de http://www.teps.cl/index.php/teps/article/view/464

Resumen

Antecedentes: La prevalencia de obesidad  de la población mundial hace necesario profundizar en sus determinantes conductuales y cognitivos motivacionales. La autorregulación alimentaria emerge como un recurso individual que favorece mantener una dieta y estado nutricional saludable, lo que a su vez incidirá en la experiencia de bienestar de la población. Objetivo: Establecer la asociación entre autorregulación alimentaria, dieta, estado nutricional y bienestar subjetivo en adultos. Método: estudio descriptivo correlacional, en una muestra no probabilística de 528 adultos chilenos quienes respondieron un cuestionario sobre antecedentes sociodemográficos y de salud, cumplimiento de recomendaciones alimentarias y escalas de autorregulación alimentaria y bienestar subjetivo. Se realizó análisis descriptivo, correlación y regresión multivariada. Resultados: Adultos normopeso presentaron mejores índices en todas las variables estudiadas. La autorregulación alimentaria predijo el cumplimiento de recomendaciones nutricionales (β = 0,085, Wald = 48,501, p<0,001) y el estado nutricional (β = -0,05, Wald = 16,02, p<0,001). El cumplimiento de recomendaciones nutricionales (β = 0,206, p <0,001) y el IMC (β = - 0,142, p = 0,001) predijeron el bienestar. Conclusiones: En un contexto obesogénico, la autorregulación alimentaria emerge como un recurso clave que influye positivamente no solo en una dieta y estado nutricional saludable, sino que también en el bienestar.

PDF

Citas

Ahn, J., Jeon, H., & Kwon, S. (2016). Associations between self-regulation, exercise participation, and adherence intention among Korean university students. Perceptual and Motor Skills, 123(1), 324-340. https://doi.org/10.1177/0031512516659874

Adriaanse, M., de Ridder, D., & Evers, C. (2011). Emotional eating: Eating when emotional or emotional about eating? Psychology and Health, 26(1), 23-39. https://doi.org/ckt38k

Andrade, V., Jorge, R., García-Conesa, M., Philippou, E., Massaro, M., Chervenkov, M., Ivanova, T., Maksimova, V., Smilkov, K., Gjorgieva, D., Miloseva, L., Ruskovska, T., Eirini, G., Kontogiorgis, C., & Pinto, P. (2020). Mediterranean diet adherence and subjective well-being in a sample of Portuguese adults. Nutrients, 12(12), 3837 . https://doi.org/hmmt

Annesi, J. (2019). Change in behavioral exercise program-associated self-regulation enhances self-regulation-induced eating improvements across levels of obesity severity. Evaluation and Program Planning, 75, 31-37. https://doi.org/ghj2bj

Annesi, J., & Tennant, G. (2013). Exercise program-induced mood improvement and improved eating in severely obese adults. International Quarterly of Community Health Education, 33(4), 391-402. https://doi.org/10.2190/IQ.33.4.f

Annesi, J., Johnson, P., & Porter, K. (2015). Bi-directional relationship between self-regulation and improved eating: temporal associations with exercise, reduced fatigue, and weight loss. The Journal of Psychology, 149(6), 535-553 . https://doi.org/hmmx

Annesi, J., Porter, K., & Johnson, P. (2015). Carry-over of self-regulation for physical activity to self-regulating eating in women with morbid obesity. Women & Health, 55(3), 314-333. https://doi.org/10.1080/03630242.2014.996727

Balani, R., Herrington, H., Bryant, E., Lucas, C., & Kim, S. C. (2019). Nutrition knowledge, attitudes, and self-regulation as predictors of overweight and obesity. Journal of the American Association of Nurse Practitioners, 31(9), 502-510. https://doi.org/hmm3

Balhareth, A., Meertens, R., Kremers, S., & Sleddens, E. (2019). Overweight and obesity among adults in the Gulf S tates: A systematic literature review of correlates of weight, weight related behaviours, and interventions. Obesity Reviews, 20(5), 763-793. https://doi.org/10.1111/obr.12826

Bandura, A. (1991). Social cognitive theory of self-regulation. Organizational Behavior and Human Decision Processes, 50(2), 248-287. https://doi.org/10.1016/0749-5978(91)90022-L

Bhuiyan, M., & Szulga, R. (2017). Extreme bounds of subjective well-being: Economic development and micro determinants of life satisfaction. Applied Economics, 49(14), 1351-1378. https://doi.org/10.1080/00036846.2016.1218426

Blankers, M. (2008). Self-regulation processes in health psychology. Psychologie & Gezondheid, 36(4), 224-234. https://tinyurl.com/2p8v22m3

Bonaccio, M., Di Castelnuovo, A., Bonanni, A., Costanzo, S., De Lucia, F., Pounis, G., Zito, F., Benedetta, M., & Iacoviello, L. (2013). Adherence to a Mediterranean diet is associated with a better health-related quality of life: a possible role of high dietary antioxidant content. BMJ Open, 3(8), e003003. https://doi.org/10.1136/bmjopen-2013-003003

Cabiedes-Miragaya, L., Diaz-Mendez, C., & García-Espejo, I. (2021). Well-Being and the Lifestyle Habits of the Spanish Population: The Association between Subjective Well-Being and Eating Habits. International Journal of Environmental Research and Public Health, 18(4), 1553. https://doi.org/10.3390/ijerph18041553

Cameron, A., Magliano, D., Dunstan, D., Zimmet, P., Hesketh, K., Peeters, A., & Shaw, J. E. (2012). A bi-directional relationship between obesity and health-related quality of life: evidence from the longitudinal AusDiab study. International Journal of Obesity, 36(2), 295-303. https://doi.org/10.1038/ijo.2011.103

Campos-Uscanga, Y., Morales-Ortiz, A., & Argüelles-Nava, V. (2016). Obesity in Female Students: Ethnicity and Self-regulation as Predicting Factors. Health Behavior and Policy Review, 3(4), 315-322. https://doi.org/10.14485/HBPR.3.4.3

Campos-Uscanga, Y., Gutiérrez-Ospina, G., Morales-Romero, J., & Romo-González, T. (2017). Self-regulation of eating and physical activity is lower in obese female college students as compared to their normal weight counterparts. Eating and Weight sorders-Studies on Anorexia, Bulimia and Obesity, 22(2), 311-319. https://doi.org/10.1007/s40519-016-0338-9

Campos-Uscanga, Y., Morales-Romero, J., & Romo-González, T. (2015). Design and validation of a scale to assess self-regulation of eating habits in Mexican university students. Archivos Latinoamericanos de Nutricion, 65(1), 44-50. https://tinyurl.com/2mvvpnyh

Carr, D., & Friedman, M. A. (2006). Body weight and the quality of interpersonal relationships. Social Psychology Quarterly, 69(2), 127-149. https://doi.org/cbmkbg

Carrillo, P., Guillamón, A., Tárraga, P., & García, E. (2021). Percepción de soledad, felicidad y salud, y calidad de la dieta. El rol moderador del estado ponderal. Nutrición Hospitalaria, 38(3), 458-463. https://doi.org/10.20960/nh.03525

Crichton, G., Bryan, J., Hodgson, J., & Murphy, K. (2013). Mediterranean diet adherence and self-reported psychological functioning in an Australian sample. Appetite, 70, 53-59. https://doi.org/10.1016/j.appet.2013.06.088

Coria, M, Jara, C., Rivera, N., Calderón, Maldonado, J. & Morales, B. (2014). Bienestar subjetivo y satisfacción con la alimentación en estudiantes universitarios: Un estudio cualitativo. Summa Psicológica UST, 11(1), 51-63. https://doi.org/10.18774/448x.2014.11.144

Cuñado, J., & de Gracia, F. (2012). Does education affect happiness? Evidence for Spain. Social Indicators Research, 108(1), 185-196. https://doi.org/10.1007/s11205-011-9874-x

Diener, E., & Suh, E. (2003). National Differences in Subjective Well-Being. En E. Diener, D. Kahneman, & N. Schwarz (Eds.), Well-Being: Foundations of Hedonic Psychology (pp. 434–450). Russell Sage Foundation.

Durá, T., & Castroviejo, A. (2011). Adherencia a la dieta mediterránea en la población universitaria. Nutrición Hospitalaria, 26(3), 602-608. . https://doi.org/10.3305/nh.2011.26.3.4891

Fastame, M. (2021). Life satisfaction in late adult span: the contribution of family relationships, health self-perception and physical activity. Aging Clinical and Experimental Research, 33(6), 1693-1698. https://doi.org/10.1007/s40520-020-01658-1

Fischler, C. (1988). Food, self and identity. Social Science Information, 27(2), 275-292. https://doi.org/10.1177/053901888027002005

Gianessi, C. A. (2012). From habits to self-regulation: How do we change? The Yale Journal of Biology and Medicine, 85(2), 293. https://tinyurl.com/2p8arb5m

Gille, D., Bütikofer, U., Chollet, M., Schmid, A., Altintzoglou, T., Honkanen, P., Stoffersa, H., Walthera, B., & Piccinali, P. (2016). Nutrition behavior of the middle-aged and elderly: Compliance with dietary recommendations of the food pyramid. Clinical Nutrition, 35(3), 638-644. https://doi.org/10.1016/j.clnu.2015.04.002

Gregório, M. J., Rodrigues, A., Eusébio, M., Sousa, R.., Dias, S., André, B., Grønning, K., Coelho, P., Mendes, P., Graça, P., Espnes, G., Branco, J., & Canhão, H. (2017). Dietary patterns characterized by high meat consumption are associated with other unhealthy life styles and depression symptoms. Frontiers in Nutrition, 4, 25. https://doi.org/hmnp

Godos, J., Ferri, R., Caraci, F., Cosentino, F., Castellano, S., Galvano, F., & Grosso, G. (2019). Adherence to the mediterranean diet is associated with better sleep quality in Italian adults. Nutrients, 11(5), 976 . https://doi.org/10.3390/nu11050976.

Gougeon, L., Payette, H., Morais, J., Gaudreau, P., Shatenstein, B., & Gray-Donald, K. (2015). Dietary patterns and incidence of depression in a cohort of community-dwelling older canadians. The Journal of Nutrition, Health & Aging, 19(4), 431-436. https://doi.org/10.1007/s12603-014-0562-9

Halberstadt, J., de Vet, E., Nederkoorn, C., Jansen, A., van Weelden, O. H., Eekhout, I., Heymans, M., & Seidell, J. C. (2017). The association of self-regulation with weight loss maintenance after an intensive combined lifestyle intervention for children and adolescents with severe obesity. BMC Obesity, 4(1), 1-10. https://doi.org/hmnq

Hernandez, R., Bassett, S., Boughton, S., Schuette, S., Shiu, E., & Moskowitz, J. (2018). Psychological well-being and physical health: Associations, mechanisms, and future directions. Emotion Review, 10(1), 18-29. https://doi.org/10.1177/1754073917697824

Hervás, G., & Vázquez, C. (2013). Construction and validation of a measure of integrative well-being in seven languages: The Pemberton Happiness Index. Health and Quality of Life Outcomes, 11(1), 66. https://doi.org/10.1186/1477-7525-11-66

Hosker, D., Elkins, R., & Potter, M. (2019). Promoting mental health and wellness in youth through physical activity, nutrition, and sleep. Child and Adolescent Psychiatric Clinics, 28(2), 171-193. https://doi.org/10.1016/j.chc.2018.11.010.

Hosseini, S., Jones, J., & Vatanparast, H. (2019). Association between grain intake, nutrient intake, and diet quality of Canadians: Evidence from the Canadian community health survey–nutrition 2015. Nutrients, 11(8), 1937. https://doi.org/10.3390/nu11081937

Jaacks, L., Vandevijvere, S., Pan, A., McGowan, C., Wallace, C., Imamura, F., Mozaffarian, D., Swinburn, B., & Ezzati, M. (2019). The obesity transition: stages of the global epidemic. The Lancet Diabetes & Endocrinology, 7(3), 231-240. https://doi.org/gmchgw

Jantaratnotai, N., Mosikanon, K., Lee, Y., & McIntyre, R. S. (2017). The interface of depression and obesity. Obesity Research & Clinical Practice, 11(1), 1-10. https://doi.org/gk5r45

Johnson, F., Pratt, M., & Wardle, J. (2012). Dietary restraint and self-regulation in eating behavior. International Journal of Obesity, 36(5), 665-674. . https://doi.org/10.1038/ijo.2011.156

Jantaratnotai, N., Mosikanon, K., Lee, Y., & McIntyre, R. S. (2017). The interface of depression and obesity. Obesity Research & Clinical Practice, 11(1). https://doi.org/10.1016/j.orcp.2016.07.003

Keller, C., Hartmann, C. & Siegrist, M. (2016) The association between dispositional self-control and longitudinal changes in eating behaviors, diet quality, and BMI. Psychology & Health, 31(11), 1311-1327. https://doi.org/10.1080/08870446.2016.1204451

Kim, E., Shiba, K., Boehm, J., & Kubzansky, L. (2020). Sense of purpose in life and five health behaviors in older adults. Preventive Medicine, 139, 106172. https://doi.org/hmpn

Kolotkin, R., & Andersen, J. (2017). A systematic review of reviews: exploring the relationship between obesity, weight loss and health related quality of life. Clinical Obesity, 7(5), 273-289. https://doi.org/10.1111/cob.12203

Lanuza, F., Petermann-Rocha, F., Celis-Morales, C., Concha-Cisternas, Y., Nazar, G., Troncoso-Pantoja, C., Lassere-Laso, N., Martínez-Sanguinetti, M. A., Parra-Soto, S., Zamora-Ros, R., Andrés-Lacueva, C., & Meroño, T. (2021). A healthy eating score is inversely associated with depression in older adults: Results from the Chilean National Health Survey 2016–2017. Public Health Nutrition, 1–12. https://doi.org/hmpq

Lassale, C., Batty, G. D., Baghdadli, A., Jacka, F., Sánchez-Villegas, A., Kivimäki, M., & Akbaraly, T. (2019). Healthy dietary indices and risk of depressive outcomes: a systematic review and meta-analysis of observational studies. Molecular Psychiatry, 24(7), 965-986. https://doi.org/10.1038/s41380-018-0237-8

Ling, J., & Zahry, N. R. (2021). Relationships among perceived stress, emotional eating, and dietary intake in college students: Eating self-regulation as a mediator. Appetite, 163, 105215. https://doi.org/10.1016/j.appet.2021.105215

Luppino, F., de Wit, L., Bouvy, P., Stijnen, T., Cuijpers, P., Penninx, B., & Zitman, F., (2010). Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Archives of General Psychiatry, 67(3), 220-229. https://doi.org/fd2js8

Mannan, M., Mamun, A., Doi, S., & Clavarino, A. (2016). Is there a bi-directional relationship between depression and obesity among adult men and women? Systematic review and bias-adjusted meta analysis. Asian Journal of Psychiatry, 21, 51-66. https://doi.org/hmps

Margozzini, P., & Passi, Á. (2018). Encuesta Nacional de Salud, ENS 2016-2017: un aporte a la planificación sanitaria y políticas públicas en Chile. Ars Medica Revista de Ciencias Médicas, 43(1), 30-34. https://doi.org/10.11565/arsmed.v43i1.1354

Ministerio de Salud (2017). Encuesta nacional de salud 2016-2017 primeros resultados. Ministerio de Salud. https://tinyurl.com/3x63mcny

Naughton, P., McCarthy, M., & McCarthy, S. (2015). Acting to self-regulate unhealthy eating habits. An investigation into the effects of habit, hedonic hunger and self-regulation on sugar consumption from confectionery foods. Food Quality and Preference, 46, 173-183. https://doi.org/10.1016/j.foodqual.2015.08.001

Osuna-Ramírez, I., Hernández-Prado, B., Campuzano, J. C., & Salmerón, J. (2006). Índice de masa corporal y percepción de la imagen corporal en una población adulta mexicana: la precisión del autorreporte. Salud pública de México, 48(2), 94-103. https://doi.org/b4fnjn

Pano, O., Sayón-Orea, C., Gea, A., Bes-Rastrollo, M., Martínez-González, M. Á., & Martínez, J. A. (2020). Nutritional determinants of quality of life in a mediterranean cohort: The sun study. International Journal of Environmental Research and Public Health, 17(11), 3897. https://doi.org/10.3390/ijerph17113897

Rand, K., Vallis, M., Aston, M., Price, S., Piccinini-Vallis, H., Rehman, L., & Kirk, S. F. (2017). “It is not the diet; it is the mental part we need help with.” A multilevel analysis of psychological, emotional, and social well-being in obesity. International Journal of Qualitative Studies on Health and Well-being, 12(1), 1306421. https://doi.org/10.1080/17482631.2017.1306421

Reed, J., Yates, B., Houfek, J., Pullen, C., Briner, W., & Schmid, K. (2016). Eating self-regulation in overweight and obese adults: A concept analysis. Nursing Forum, 51(2), 105-116. https://doi.org/10.1111/nuf.12125

Ridder, D. & Wit, J. (2006). Self-Regulation in Health Behaviour: Concepts, Theories, and Central Issues. En D. Ridder & J. Wit (Eds.), Self-Regulation in Health Behaviour (pp. 1-23). John Wiley & Sons. https://doi.org/10.1002/9780470713150.ch1

Romain, A., Marleau, J., & Baillot, A. (2018). Impact of obesity and mood disorders on physical comorbidities, psychological well-being, health behaviours and use of health services. Journal of Affective Disorders, 225, 381-388. https://doi.org/10.1016/j.jad.2017.08.065

Skarupski, K., Tangney, C., Li, H., Ouyang, B., Evans, D. A., & Morris, M. C. (2010). Longitudinal association of vitamin B-6, folate, and vitamin B-12 with depressive symptoms among older adults over time. The American Journal of Clinical Nutrition, 92(2), 330-335. https://doi.org/10.3945/ajcn.2010.29413

Spring, B., Champion, K.E., Acabchuk, R., & Hennessy, E.A. (2020): Self-regulatory behaviour change techniques in interventions to promote healthy eating, physical activity, or weight loss: a meta-review. Health Psychology Review, 15(4), 508-539. https://doi.org/ggjv9v

Stadler, G., Oettingen, G., & Gollwitzer, P. M. (2010). Intervention effects of information and self-regulation on eating fruits and vegetables over two years. Health Psychology, 29(3), 274–283. https://doi.org/10.1037/a0018644

Steptoe, A. (2019). Happiness and health. Annual Review of Public Health, 40, 339-359. https://doi.org/10.1146/annurev-publhealth-040218-044150

Strahler, J., & Nater, U. M. (2018). Differential effects of eating and drinking on wellbeing—an ecological ambulatory assessment study. Biological Psychology, 131, 72-88. https://doi.org/10.1016/j.biopsycho.2017.01.008

Teixeira, P., Carraça, E., Marques, M., Rutter, H., Oppert, J., De Bourdeaudhuij, I., Lakerveld, J., & Brug, J. (2015). Successful behavior change in obesity interventions in adults: a systematic review of self-regulation mediators. BMC Medicine, 13(1), 1-16. https://doi.org/10.1186/s12916-015-0323-6

Troncoso-Pantoja, C., Lanuza, F., Martínez-Sanguinetti, M., Leiva, A., Ramírez-Alarcón, K., Martorell, M., Labraña, A., Parra, S., Lasserre, N., Nazar, G., Celis-Morales, C., & Petermann-Rocha, F. (2020). Estilos de vida y cumplimiento de las Guías Alimentarias Chilenas: resultados de la ENS 2016-2017. Revista Chilena de Nutrición, 47(4), 650-657. https://doi.org/10.4067/S0717-75182020000400650

Van Strien, T., & Ouwens, M. (2007). Effects of distress, alexithymia and impulsivity on eating. Eating Behaviors, 8(2), 251-257. https://doi.org/10.1016/j.eatbeh.2006.06.004

Vohs, K., & Baumeister, R. (Eds.). (2016). Handbook of self-regulation: Research, theory, and Applications. Guilford.

Yiengprugsawan, V., Banwell, C., Takeda, W., Dixon, J., Seubsman, S., & Sleigh, A. (2015). Health, happiness and eating together: what can a large Thai cohort study tell us? Global Journal of Health Science, 7(4), 270. https://doi.org/10.5539/gjhs.v7n4p270

Zaragoza-Martí, A., Ferrer-Cascales, R., Hurtado-Sánchez, J. A., Laguna-Pérez, A., & Cabañero-Martínez, M. J. (2018). Relationship between adherence to the Mediterranean diet and health-related quality of life and life satisfaction among older adults. The Journal of Nutrition, Health & Aging, 22(1), 89-96. https://doi.org/10.1007/s12603-017-0923-2

SCImago Journal & Country Rank